Submental & submandibular LN swellings
A. Acute lymphadenitis:
- c/o: painful swelling of short duration.
- Sign: Enlarged tender matted LNs. , usually apparent source of infection in the catchment’s area, e.g. the tongue, lips or teeth… Latent abscess may form & the swelling becomes cystic.
B- TB lymphadenitis :
- usually in children
- c/o: slowly growing swelling
- Sign:- Firm matted LNs.
- - Later, a cold abscess may form --- finally ruptures leaving a TB sinus.
C. Lymphoma:
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There is usually other LN swellings in the body.
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Painless
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The spleen may be palpable.
Investigation:
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Biopsy is essential to establish the diagnosis.
D. Metastatic carcinoma:
- LNs are hard & painless.
- Mobile at first & later fixed.
- The primary tumor is usually apparent e.g. in the tongue.
- Investigadons Directed to the primary lesion.